Active NPI
Jacqueline Christina Mauro, LMSW
- Clinical Social Worker
- Far Rockaway, NY
National Provider Identifier
1679052575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101656
- Practice address
- 1622 Central Ave
Far Rockaway, NY 11691-4002 - Phone
- (718) 327-9001
- NPI assigned
- Aug 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 105535 | NY | |
| Social Worker | 104100000X | 105535 | NY | |
| Clinical Social Worker | 1041C0700X | 101656 | NY | Primary |
Addresses
Primary practice location
1622 Central Ave
Far Rockaway, NY 11691-4002
Mailing address
855 E Broadway Apt 3C
Long Beach, NY 11561-4747
Phone (516) 761-5845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Village Ave
Suite 27
Rockville Centre, NY 11570-3712
Phone (516) 277-6121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105535 | NY | MD | Social Worker |
| 101656 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Psychological Services, PLLC | Current | Accepting new patients | |
| New Horizon Counseling Center Inc | Past | Accepting new patients |
Locations
100 N Village Ave
Ste 27
Rockville Ctr, NY 11570
Phone (516) 277-6121
250 Merrick Rd
Unit 636
Rockville Ctr, NY 11571
Phone (516) 277-6121
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Rockville Centre, NY
- NPI 1386209898
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1679052575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 E BROADWAY APT 3C",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614747",
"telephone_number": "516-761-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 CENTRAL AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914002",
"telephone_number": "718-327-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURO",
"first_name": "JACQUELINE",
"middle_name": "CHRISTINA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-10",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "105535",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "105535",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "101656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.